Organization · Type 2 NPI
Wise Choice Residential
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Conyers, GA
Practice location
1040 Lake Haynes Dr NE
Conyers, GA 30012-1519
Fax (770) 679-4143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 621960416A (GA) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1720319981
Wise Choice Residential's National Provider Identifier is 1720319981, issued on Jan 27, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Conyers, GA. The record was last updated on Jan 27, 2010.